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General NPI Number Information
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NPI Number | 1720480221
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Entity Type | Individual
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Provider Name | GINGER BAHARDAR LPCC LMFT
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Gender | Female
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Dates
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Enumeration Date | 09/16/2014
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Last Update Date | 10/20/2016
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Provider Practice Location Address
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Address Line | 31258 VIA PUERTA DEL SOL
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City | BONSALL
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State | CA
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Zip | 92003-5033
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Country | US
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Telephone | 760-945-9380
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Fax |
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Provider Business Mailing Address
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Address Line | 31258 VIA PUERTA DEL SOL
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City | BONSALL
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State | CA
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Zip | 92003-5033
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Country | US
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Telephone | 760-945-9380
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPCC764
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT79841
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License Number State | CA
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